Healthcare Provider Details

I. General information

NPI: 1295707321
Provider Name (Legal Business Name): MARGARET ANN MCINALLY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 MERCY HEALTH BLVD
CINCINNATI OH
45211-1103
US

IV. Provider business mailing address

188 COMPTON RD
CINCINNATI OH
45215-5154
US

V. Phone/Fax

Practice location:
  • Phone: 513-215-1488
  • Fax:
Mailing address:
  • Phone: 513-827-6435
  • Fax: 866-245-0622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3012253
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number09959
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: